for and plenty of opportunities to be paid fairly — and paid well."
• Decentralized care. For decades, healthcare leaders have prom-
ised that consolidation — large health systems creating account-
able care organizations by employing physicians and buying up
local facilities — would lead to incredible innovation and more
cost-effective care.
"But we haven't been told the whole story," says Dr. Makary. "In
reality, innovation occurs more often in small centers, which are more
agile and can develop new technologies and ideas faster."
He calls for replacing traditional models of market domination
with relationship-based models in which surgical facilities serve
communities with affordable, patient-centered care and engage in
new innovations that meet the expanding clinical needs of their
patients.
Dr. Makary is excited to discuss big-picture trends in surgical care
and share the great optimism he has about the ways disruptive
healthcare innovators are redesigning the traditional healthcare
model to make it more efficient, cost-effective, patient-centered and
affordable. "We all have to understand that it's possible to run an
efficient and profitable surgical business," he says, "while staying
true to the moral principles that drew us to the profession in the
first place."
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